TAILIEUCHUNG - Health and Quality of Life Outcomes BioMed Central Review Open Access Toward a theoretical model
Health and Quality of Life Outcomes BioMed Central Review Open Access Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shift Bruce D Rapkin*1 and Carolyn E Schwartz2,3,4,5 Address: 1Department of Psychiatry and the Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA, 2QualityMetric Incorporated, Waltham, MA, USA, 3Health Assessment Lab, Waltham, MA, USA, 4Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA and 5DeltaQuest Foundation, Concord, MA, USA Email: Bruce D Rapkin* - rapkinb@; Carolyn E Schwartz - * Corresponding author Published: 15 March 2004 Health and Quality of Life. | BioMed Central Health and Quality of Life Outcomes Review Open Access Toward a theoretical model of quality-of-life appraisal Implications of findings from studies of response shift Bruce D Rapkin 1 and Carolyn E Schwartz2 3 4 5 Address Department of Psychiatry and the Behavioral Sciences Memorial Sloan Kettering Cancer Center New York NY USA 2QualityMetric Incorporated Waltham MA USA 3Health Assessment Lab Waltham MA USA 4Division of Preventive and Behavioral Medicine Department of Medicine University of Massachusetts Medical School Worcester MA USA and 5DeltaQuest Foundation Concord MA USA Email Bruce D Rapkin - rapkinb@ Carolyn E Schwartz - Corresponding author Published 15 March 2004 Received 23 January 2004 Accepted 15 March 2004 Health and Quality of Life Outcomes 2004 2 14 r This article is available from http content 2 l l4 2004 Rapkin and Schwartz licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Mounting evidence for response shifts in quality of life QOL appraisal indicates the need to include direct measurement of the appraisal process itself as a necessary part of QOL assessment. We propose that directly assessing QOL appraisal processes will not only improve our ability to interpret QOL scores in the traditional sense but will also yield a deeper understanding of the appraisal process in the attribution of and divergence in meaning. The published evidence for response shift is reviewed and an assessment paradigm is proposed that includes the explicit measurement of QOL appraisal process parameters l induction of a frame of reference 2 recall and sampling of salient experiences 3 standards of comparison used to appraise experiences and 4 subjective algorithm used to prioritize and combine appraisals to arrive at a .
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